摘要
目的调查影响劳务工结核病管理、治疗效果的因素，为制定我国流动人口结核病防治策略提供依据。方法用自行设计的问卷，调查深圳市6个区经结核病防治机构确诊的外来劳务工结核病患者1364例（研究组）和当地户籍结核病患者436例（对照组）。结果结核病患者发现与首诊医疗单位、工作流动性、经济状况等有关，个体诊所首诊怀疑结核病比例（39．0％）偏低。有58．4％（796例）的劳务工患者就诊延迟，其中以患者自身不重视（55．9％，445例）、自觉症状轻（19．3％，154例）、医院远不方便（10．2％，81例）为主；而户籍人口有68．1％（297例）患者就诊延迟，其中以不重视（177，59．6％）和不方便（47，15．8％）为主。二者相比延迟因素分布差异有统计学意义（χ^2=21．49，P〈0．01）。有39．9％（544例）的劳务工患者与49．1％（214例）的户籍人口患者诊断延误，二者相比延误因素差异无统计学意义（χ^2=7．31，P=0．293）。17．6％（240例）的劳务工患者与13．1％（57例）的户籍人口患者有药物漏服现象，二者相比药物漏服原因差异无统计学意义（χ^2=6．66，P〉0．05）；77．5％（1057例）的劳务工患者与31．8％（138例）的户籍患者认为督导点服药对工作、生活有影响，两者相比服药点给患者带来困难的原因差异有统计学意义（χ^2=9．71，P〈0．05）；79．2％（1080例）的劳务工患者与63．3％（276例）的户籍人口患者曾未按医生处方要求取药，二者相比未按医嘱取药的原因差异具有统计学意义（χ^2=24．84，P〈0．01）；51．2％（699例）的劳务工患者与46．1％（201例）的户籍人口患者曾未按医生要求及时化验，二者相比其主要原因差异无统计学意义（χ^2=3．26，P〉0．05）。结论影响深圳劳务工结核病管理、治疗效果的因素较多，必须加强宣传
Objective To study the factors affecting the management and treatment of immigrant workers with tuberculosis, to determine the most effective measures and to provide an academic basis for tuberculosis control and prevention strategies targeting the immigrant population. Methods A self-designed questionnaire was administered to 1364 immigrant workers with tuberculosis （ study group） and 436 local residents （control group） with tuberculosis. Results Whether a patient＇s tuberculosis status was discovered or not was related to the medical facilities initially visited,job mobility,and the individual worker＇s economic condition. The percentage of cases discovered was relatively low among those who made their first visit to a private clinic （39. 0% ） ,and 58.4% （796） of immigrant workers delayed their first consultation mainly due to neglecting symptoms （55.9%, 445 ）, subjective perception of symptoms being not severe enough （ 19. 3% , 154） to visit a physician and the inconvenience of visiting a hospital because of its being far away from home（ 15.8% ,47 ）. As comparing immigrant workers with local residents, the differences of the delay reason between the two groups were statistically significant（ χ^2 = 21.49,P 〈 0. 01 ）. And 39. 9% （544） of immigrant workers and 49. 1% （214） of local residents had had late confirmation. The differences of the delay reasons between the two groups were insignificant（ χ^2 = 7. 31, P = 0. 293 ）. And 17. 6% （240） patients of immigrant workers and 13.1% （57）patients of local residents did not keep to their drug regimens in a timely fashion. The differences of the reasons between the two groups were insignificant （χ^2 = 6. 66, P 〉 0. 05）. And 77.5% （ 1057 ） of immigrant workers and 31.8% （ 138 ） of local residents were considered that taking medicine in supervision spot might have impact on their lives and work. The differences of the reasons between the two groups were significant （ χ^2 = 9. 71, P 〈 0.05 ）. A
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2009年第2期141-145,共5页
Chinese Journal of Preventive Medicine
基金
国家疾病预防控制中心招标课题[国家CDC（2003）34]
关键词
人口特征
结核
肺
治疗结果
疾病管理
因素分析
统计学
Population characteristics
Tuberculosis,pulmonary
Treatment outcome
Disease management
Factor analysis,statistical
